Individual
JORDAN ENID HOLLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4114 POND HILL RD STE 100, SAN ANTONIO, TX 78231-1273
(210) 616-0739
(210) 616-0972
Mailing address
4114 POND HILL RD STE 100, SAN ANTONIO, TX 78231-1273
(210) 616-0739
(210) 616-0972
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P5535
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
P5535
TX
Other
Enumeration date
09/14/2009
Last updated
01/06/2020
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